18 yr old male pt h/o cough, difficulty in breathing frm 1 month

35 yr male pt h/o difficulty in breathng frm 5 days

### Asthma and COPD represent the tip of the iceberg for the non pulmonologists !!! Case 1 : Sliding hiatus hernia (misdiagnosed as asthma) Case 2 : Cryptogenic organizing pneumonia (COP)(misdiagnosed as chest infection) Case 3: Simple pulmonary eosinophilia (misdiagnosed as lung adenocarcinoma) Case 4: Kartagners syndrome (misdiagnosed as chest infection) Case 5: Round pneumonia (misdiagnosed as tumor) Case 6: Tracheal tumor (misdiagnosed as asthma) Case 7: Hiatus hernia (misdiagnosed as asthma) Case 8: Osteoblastic metastasis from prostate cancer (misdiagnosed as chest infection) Here comes the importance of specialist referral when in doubt. Not all wheezes is asthma !!! Not all glitters is gold !!!

70 yrs old presented with dyspnea bilateral pedal edema raised jvp Known case of asthma on inhalers Total count 18000 Bp160/90 Treated as acute asthma Ecg shows p pulmonale Tdy out put is decreased to 500ml ???Sepsis/rvf/ccf// Plz comment on xray !!!

A male aged 30 years having Fever, cough and severe pain chest since 10 days. He is a known case of Bronchial asthma and regularly using Budamet 200 rotocaps. WBC is 15400 with raised neutrophils. Comments on X-ray, D/D, management.